NPI | 1033289574 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER PAUL RULLAN Medical Director 619-426-9600 |
Organization Subpart ? | No |
Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA G42243) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2022-03-14 |